1975 1983

1986 1992

1998

2010

annual report 2010

Connecting the Past, Present & Future 35 Years of Service 1975 to 2010 Our Mission History

or over 35 years, the Inter Tribal Council of , Inc. (ITCA) has ...To be the voice carried out the goals identified by its member Tribes.

Inf 1952, the elected leaders of nine Indian Tribes in Arizona formed an of the member Tribes association to provide members with a united voice. The purpose of the association was to address the issues that affected the Tribes collectively in bringing about or individually. This forum enabled Tribal governments in Arizona to combine their efforts and resources for common goals.

Indian involvement and In 1975, with the realization that “these challenges and opportunities require the force of united and concerted voice and action which one Tribe self-determination… alone does not possess,” the Tribes established the Inter Tribal Council of Arizona, Inc.

Excerpt from the Articles of Incorporation Today, after over 35 years of operation, 20 federally recognized Indian of the Inter Tribal Council of Arizona, Inc. Tribes belong to the Inter Tribal Council of Arizona, Inc. The highest elected officials of each Tribe — the chairpersons, presidents or governors — are members of the Council.

1975 1979 1980s 1983 1986 1988 1992 1996 1998 1999 1999 2000

Environmental Quality Programs Community Frank J. Caverly Emergency Response Human Services - pg. 6 - WIC Program Development Activities - pg. 4 Scholarship Fund - - pg. 9 - - pg. 14 - - pg. 16 - - pg. 18 -

Data and Research Health Policy - pg. 12 - - pg. 8 - Arizona Inter Tribal Dental Prevention and Area Agency on Aging Trust Fund Clinical Support Center - pg. 10 - Health Promotion - pg. 17 - - pg. 5 - - pg. 15 -

Gila River San Carlos White Mountain Tohono Pueblo Salt River Fort McDowell Fort Mojave Ak-Chin Cocopah Yavapai- Tonto Pascua Indian Indian Apache O’odham of Pima-Maricopa HOPi Quechan Yavapai INDIAN Indian INDIAN Apache Kaibab-Paiute Prescott Apache Yaqui Community Tribes Tribe Tribe Nation Zuni Indian Community Tribe Tribe Tribe Tribe Nation Tribe Community Tribe Nation Tribe indian Tribe Tribe Tribe Est. 1859 Est. 1865 Est. 1871 Est. 1871 Est. 1874 Est. 1877 Est. 1879 Est. 1880 Est. 1882 Est. 1883 Est. 1884 Est. 1886 Est. 1910 Est. 1912 Est. 1917 Est. 1925 Est. 1934 Est. 1935 Est. 1972 Est. 1978 A Message Special Recognition: Veronica Homer From Our Leadership ITCA recognizes the contributions of Veronica Homer to the Inter Tribal Council of Arizona, Inc. and the Tribes in Arizona. Ms. Homer is an enrolled Mohave member of the Colorado River Indian Tribes and served as the Vice Chairperson or Recording Secretary of the Tribe from 1969 through 1980. In this capacity, she spearheaded the creation of the ITCA corporation and was one of the original incorporators his year, 2010, marks the 35th year the Inter Tribal Council of Arizona, Inc. of the Inter Tribal Council of Arizona, Inc. in 1975. Ms. Homer became an officer of the corporation (ITCA) has been in existence. The ITCA was incorporated as a 501(c)(3) and was instrumental in establishing the original ITCA, Inc. offices. She also servedT ribes as the t nonprofit charitable organization in July 1975. The focus of the organization President of the National Congress of American Indians and was the first womanP resident of the was, and continues to be, directed at strengthening the soundness, durability, and organization in 1977. Through her leadership, this organization was revitalized and was able to integrity of Tribal governments. In applying the purposes of the organization, which move forward to address issues of national importance to Tribes. In 1989, Ms. Homer became the are to “use any lawful means to provide its member Tribes as sovereign nations Special Assistant to the Assistant Secretary of the Interior in Washington, D.C. where she used and American Indian Tribes with a united voice and the means for united action on her skills to develop more cooperative relationships between the Department of Interior and the Diane Enos matters that affect them collectively or individually,” and with the guidance of Tribal Tribes and increased direct participation by the Tribes. ITCA appreciates Ms. Homer’s vision and leadership in the service of ITCA and Tribes. President leadership, ITCA was established as an accessible resource to Tribal governments on their pathway to self-determination and self-governance.

Over the past 35 years, there has been major growth in the scope of services provided by the Tribes as well as an increase in the overall responsibilities of governance. This growth began with the passage of the Indian Self-Determination over Ten and Education Act of 1974, referred to as P.L. 93-638, which provided Tribal governments the lawful basis to assume responsibility for Federal programs. Years of Throughout its years of operation, the ITCA, Inc. has adjusted its capacity to best 25+ Years meet the needs of the evolving responsibilities of Tribal governments through policy Alice Morgan – 25 years ServicE research, advocacy, training, technical assistance and resource development. Alberta Tippeconnic – 34 years John Lewis – 35 years Tribal governments have now forged a strong intergovernmental working relationship with the Federal and State governments based on their legal sovereign status In recognition of their resulting in access to new resources and programs for Tribes. The advent of gaming service to Inter Tribal has also allowed for diversified economic growth on reservation lands. Council of Arizona, Inc., ITCA has been an essential part of its member Tribal governments’ accomplishments 15 - 24 Years we’d like to thank these over the past years. This report reflects some of the many successful efforts and John lewis outcomes of the organization through its years of operation directed at resource, Kathy Davis – 24 years Executive Director Elva Yazzie – 21 years individuals for their program, and policy development. The organization, with the leadership of the Tribal Mindy Jossefides – 16 years dedicated work on behalf governments, will continue to build on its past accomplishments in assisting Tribes in Alida Montiel – 21 years fulfilling their obligations to their members in future years. Elaine Wilson – 20 years of our organization.

10 - 14 years 2010 Executive Board Quannee Oosawhe – 10 years Patrick McMullen – 11 years Diane Enos Clinton Pattea Joseph Manuel Verna Monenerkit – 12 years President Second Vice President Secretary/Treasurer Naida Mansfield – 11 years (not pictured) President, Salt River Pima- President, Fort McDowell Lt. Governor, Gila River Rich Burch – 10 years Lee Begay – 12 years Maricopa Indian Community Yavapai Nation Indian Community Esther Corbett – 12 years Glenda Lumpmouth – 11 years Warren Kontz – 11 years Gary Shupla – 10 years

2 3 Human Services 1979 Area Agency on Aging

Title III of the Older Americans Act (OAA) of 1965 required the States to develop state units on aging and Area Agencies on Aging to carry out the responsibilities of the Act. The Tribes in Arizona started working with the Arizona Department of Economic Security (AZ DES) in the 2010 early 1970’s to receive Title III funding for a variety of elder services projects. During this time, ITCA 2010 received federal Section 1115 demonstration project oday, the Area Agency on Aging, Region Eight he ITCA Human Services Programs work diligently to funds and worked jointly with the state to assess and the ITCA member Tribes continue working improve Tribal human services by developing human and plan social services programs including aging. At the time, only a few Tribes were receiving aging together in providing nutrition services, home and service policy, facilitating Tribal consultation, serving funds or services. As a result of this project, AZ communityt based services, and family caregiver services to ast a Tribal liaison with the state and federal governments and by 1975 DES funded the Tribes directly for their own specific elders living in Tribal communities. For example, the Long providing training and technical assistance to Tribal human service projects with the majority of the Tribes receiving Term Care Ombudsman Program successfully provided a programs. The Tribal human services programs include child funding to develop nutrition and transportation New Ombudsman Certification Training attended by Tribal welfare, foster care, child protective services (CPS), youth services, services for elders. In the late 70’s, ITCA and Tribes community workers representing six Tribes. Four of the Indian Child Welfare Act (ICWA), Temporary Assistance to Needy began advocating for designation as individual Area Beginning in the 1970’s, Agencies on Aging. After continued advocacy, AZ participants were recertified as Ombudsmen Representatives Families (TANF), Early Childhood including child care — both ITCA became a strong advocate DES agreed to approve two Area Agencies on Aging, for their Tribal members living in state licensed facilities. center & home based, Head Start & Early Head Start, Workforce nationally to allow all Tribes to have access Region Seven for the Navajo Nation and Region Eight This program also hosted an Annual In-Service Training Investment Act training & employment services. to direct social services funding from the federal for the Inter Tribal Council of Arizona, Inc. for Recertified Ombudsmen who successfully updated and

government. In 1975, Congress passed P.L. 93-638, synchronized their residents’ case files to program standards. the Indian Self Determination and Education This past year, the program boosted Tribal capacity to provide Also in the late 1970’s, Tribes began advocating at the national level to the Administration on Aging Assistance Act, which allowed Tribes to contract their professional and effective child protective services by hosting and U.S. Congress to participate in OAA services. In ITCA also hosted the 22nd Annual Arizona Indian Council on the ITCA annual 2-week Child Protective Services Academy social services programs through the Bureau of Indian 1981, the Tribes were successful in their advocacy; Aging conference with about 550 elders participating in the with 14 Tribal staff successfully completing the Academy. The Affairs. ITCA worked on two demonstration projects Congress reauthorized the OAA with a new Title, general sessions, workshop sessions, social activities, and the program also improved state CPS workers’ understanding and that were the foundation for establishing Tribal Title VI, specifically forT ribes. Tribes were now able senior games. The Tribal Caregiver Support Program hosted implementation of the Indian Child Welfare Act by hosting three to receive Title VI directly from the Administration social services: The first explored the feasibility for the 5th annual Tribal Caregiver Conference attended by 190 Tribes to access direct Social Security Act Title XX trainings throughout the state for state staff. The Annual Caring on Aging and provide services for elders. Tribes in Arizona receive Title III and Title VI funds to support participants. ITCA continued to implement evidence-based funds while the second developed a model for Tribes & Sharing Early Childhood Training enhanced Tribal capacity to their programs. health promotion programs in Tribal communities by conducting provide quality early childhood services to families. Tribal Social and States to collaborate and utilize Title XX funds the “Powerful Tools for Caregivers” lay-leader training where Services staff was also provided the opportunity to improve their at a state level. four class leaders received their certification to teach the ability to assess youth life skills by attending training on the curriculum. Three Tribes received one-time funding to conduct Ansell-Casey Life Skills Assessment Tool. In 1978, ITCA strongly advocated for the passage the Powerful Tools for Caregiver classes. AAA also conducted of the Indian Child Welfare Act, designed to protect the Chronic Disease Self-Management Program Lay Leaders The ITCA Human Services Program also coordinated and hosted Indian children from unwarranted removal and to hold Training with six lay leaders completing the training. states accountable for the process and placement of quarterly meetings of the ITCA Tribal Social Services Working Indian children. Group and the ITCA Early Childhood Working Group. These groups are significant forums for information exchange, policy These important pieces of federal legislation are the discussion, legislative discussions as well as opportunities for basis for the modern Tribal social services programs Tribal consultation and input on issues or polocies that directly or that now allow Tribes to take control of their social indirectly impact Tribal human services programs. Respectively, services programs by instituting Tribal policies, the two groups are made up of Tribal social services directors protocols and codes that provide them the ability to and child care directors as well as state and other program staff effectively assist and serve their Tribal communities that can contribute to the success of Tribal social services and through an array of contract funded social services. child care services.

4 5 1980s The Tribal Solid Waste Management worked to increase the awareness of the Program assisted Tribes with developing an importance of maintaining good air quality integrated solid waste management plan through the distribution of educational and provided environmental outreach to material, providing staff support and technical Protecting the land, natural Tribes on proper solid waste disposal and assistance, and tracking policy development resources and the health of the benefits of recycling. The program also to provide guidance related to changes in its members has always been a coordinated and policies that affect priority of Tribal nations. As Tribes protect and preserve their resources, facilitated a Tribal Tribes. Specifically, in turn they are protected. With this concept Solid Waste Working the program assisted in mind, ITCA, along with several Tribal Group Meeting the Fort Mojave communities, began to officially monitor which provided Indian Tribe with the pesticide use on their lands in the early 1980’s. an opportunity for initial phases of an Tribal water With US Environmental Protection Agency Tribal solid waste emissions inventory (EPA) cooperative agreement funds, Tribes Systems were able to develop pesticide codes that professionals to of their reservation to has trained enabled them to regulate its use. Some Tribes obtain updated document sources of have spun off their programs and now partner information, meet air pollution affecting over 4,800 directly with the EPA. In addition, ITCA was solid waste and the Tribal lands. individuals in able to obtain funding for the development Environmental recycling companies/organizations, and of Tribal solid waste management plans as the water and network with other solid waste programs Tribal Water Systems developed the there was little to no funding available for Quality Programs wastewater this type of effort. Soon thereafter, a concern and organizations. capacity and infrastructure of Tribal about the delivery of safe and healthy drinking governments in water and wastewater related areas water emerged as another health priority The Underground Storage Tank Compliance facilities by training and certifying those and certified for Tribes. ITCA responded by initiating and Assistance and Training Support (UST responsible for the management and developing the Tribal Water Systems Program CATS) Program supported all federally operation of Tribal drinking water and over 1,100 which provides training to Tribal water and wastewater operators. Several years later, recognized Tribes that have underground wastewater systems to protect the health participants ITCA enhanced the program by partnering with storage tanks (UST) in protecting human of American Indians in Arizona, Nevada, as water or the Association of Boards of Certification to 2010 health and the environment and offered and parts of California. This program certify operators. compliance assistance to UST facilities in has trained over 4,800 individuals in the wastewater Indian country, trained Tribal government water and wastewater related areas and operators since These programs were the roots for what are he Environmental Quality Programs serve to build the capacity personnel, increased Tribal program capacity, certified over 1,100 participants as water now the Environmental Quality Programs at of Tribal environmental programs. The staff provides technical initiation. ITCA. Throughout the 1990s and in recent and provided collaborative opportunities. or wastewater operators since initiation. assistance and training and assists with policy development, years, other programs were added such as Eleven compliance trainings for UST owners The Tribal Monitoring Assistance Program researcht and analysis. As a result, the programs assist Tribal the General Assistance Program (Air Quality and operators and six awareness trainings assisted Tribes in improving compliance with environmental programs in protecting their environments and & Solid Waste) and the Underground Storage for Tribal personnel were conducted by the EPA Safe Drinking Water Act requirements safeguarding human health. Tank Compliance Assistance and Training program. The program also coordinated and and protected human health by ensuring Support Program. All these programs focus facilitated a UST Tribal inspector Module III safe drinking water to the Tribal community on protecting human health and safeguarding The founding program of the Environmental Quality Programs has the natural environment. training (Decommissioning and Removal). through continued water monitoring and expanded into two programs: Pesticide Enforcement and Pesticide sampling activities. The program provided Worker Safety. The programs provided three Tribes — Cocopah, ITCA also supported clean air initiatives at on-site, case-specific compliance monitoring Quechan and Fort Mojave Indian Tribes — with technical assistance in the local, regional and national level through technical assistance to Yavapai Apache the inspection and monitoring of the use of pesticides on Tribal lands and the Tribal Air Quality Program. The program Nation and the Hopi Tribe on Tribal Drinking enforcing Tribal Pesticide Codes and the Federal Insecticide, Fungicide Water Systems. and Rodenticide Act (including Worker Protection Standards (WPS). The program provided compliance assistance and outreach to the regulated community on the requirements of the WPS inspections. The program also ensured that Tribal inspectors attended all necessary meetings and trainings outlined in their Tribal work plan, executed all of the program work plan deliverables, inspections were conducted based on a Tribal Neutral Inspection Scheme and inspection reports submitted included all report components to meet work plan requirements.

6 7 Health Policy 2010 WIC Program

big change for the WIC program occurred in 2010. After many years of advocacy for change by the 2010 a WIC community including ITCA, the food package provided to clients was modified through USDA policy to better meet the nutrition recommendations. This allowed ITCA to TCA analyzed health policy issues and supported Tribal provide more whole grains, such as corn tortillas and whole 1983 leader discussions on current health concerns and wheat bread, and fresh fruit and vegetables while offering more emerging trends among Tribes in Arizona, Nevada and appropriate quantities of milk, cheese and juice. The modified Utahi and involved Tribes in the Phoenix Area in prioritizing food package also better supports breastfeeding women by not health needs and making budgetary recommendations to providing formula during the first month to moms who choose ITCA was first funded in the IHS and DHHS for the FY 2010 enacted budget, the FY 2011 to breastfeed and by limiting the amount of formula for mothers health policy area by the Phoenix appropriations process and the FY 2012 budget formulation. who choose to both breastfeed and provide formula. Area Indian Health Service (PAIHS) Tribal Consultation and information dissemination regarding in 1979 to evaluate and develop models for 1986 the implementation of numerous provisions of the Patient participation in policy development, planning and Another key initiative for WIC is the Participant Centered evaluation that could be utilized by Tribal health Protection and Affordable Care Act, impacting the Indian health Services Project that was piloted at two sites over the past boards, committees, departments and authorities care system as well as American Indians and Natives year. This intiative places the participant at the center of all and other Tribal entities addressing the health needs individually were a major focus of the meetings of the Tribal Special Supplemental Nutrition the services provided rather than the program, policies, or of Indian people. This led to continued funding to Health Steering Committee for the Phoenix Area IHS, ITCA Program for Women, Infants and staff. The project trains staff to use proven communication further develop the concept of the Tribal Health Tribal leadership meetings and Tribal health and human services Children (WIC). For many Tribal communities, techniques with clients as well as co-workers to encourage Steering Committee for the PAIHS which remains the WIC Program was initiated as a program funded officials. ITCA also ensured that DHHS responded to health more participation in interactions, to elicit behavior change, active today. through the State of Arizona. Over the years, the priorities of Tribes and that Tribes have access to Medicare, Tribes recognized the need for services that were to provide a more positive WIC experience, and to improve the Tribal leaders from Arizona, Nevada and Utah Medicaid and CHIP (Children’s Health Insurance Program) Tribally directed and that met the needs of both working environment of staff. This project is being expanded supported the need for a committee to coordinate covered services by providing support to regional and national the Tribe and Tribal members. Thus, in 1986, ITCA, to four additional sites over the next few years. health policy meetings, identify health policy issues Tribal advisory groups. led by Colorado River Indian Tribes, Gila River and provide analysis of the issues. The Tribal Health Indian Community, Salt River Pima-Maricopa Indian The WIC Program provided nearly $7 million of nutrient dense Steering Committee is comprised of a core group Community and Tohono O’odham Nation, applied The Diabetes Nutrition Program improved Tribal capacity to foods like whole grains, fruit and vegetables, milk, cheese, beans of elected Tribal leaders that represent the Tribes for and received approval to become manage diabetes programs by providing technical assistance in the three-state region served by PAIHS. The a WIC state agency through the and cereal in addition to nutrition education and PAIHS Director and lead staff coordinate with the to Tribal Programs on a variety of topics including diabetic USDA, initially funding seven Tribes. referrals to over 15,000 program participants Committee to develop area-wide Tribal consultation meal planning, healthy cooking, carbohydrate counting, weight Through the years, five additional over the year. WIC also built Tribal capacity by meeting agendas and determine the information management, nutrition needs for Tribes and Native Health (an Urban funding staff to complete college level courses needed so that Tribal leaders adolescents and elderly, physical Indian Health Center) have joined can provide meaningful input in the area of nutrition. activity and traditional foods. A the ITCA WIC State Agency to on policy matters. provide WIC services to 13 reserva- nutrition workshop for Tribal and urban tion communities and the Phoenix Later, IHS identified this diabetes programs and other related and Tucson urban populations. Steering Committee as a health programs was coordinated and WIC promotes growth and healthy mechanism for formulating hosted by the program. development in young children the IHS annual budget request by providing referrals to health for the Phoenix Area. and social services, nutrition and breastfeeding education and nutritious foods to pregnant, breast- feeding and postpartum women, infants and children up to the age of five. In 2005, the BreastfeedingP eer Counselor Program was funded as part of WIC recognizing the need for peer to peer support of breastfeeding mothers.

8 9 2010 Arizona Inter Tribal Trust Fund

Construction Projects* • Recreation and Aquatic Center at Ak-Chin Indian Community • Ahakhav Preserve at Colorado River Indian Tribes • Multipurpose Education Complex at Quechan Tribe • Community Center and Park at Kaibab Paiute Tribe • Clover Leaf Ranch Youth Center at Yavapai Apache Nation • Education Department at Fort McDowell Yavapai Nation • Childcare Facility Expansion at Fort McDowell Yavapai Nation • High School at Fort Mojave Indian Tribe Programs* • Child Care Center at Fort Mojave Indian Tribe • Teaching and training of students on life-strategies at Cocopah 1988 • Library Construction at Fort Mojave Indian Tribe Indian Tribe • Site preparation and parking lot for gymnasium at Fort Mojave Indian Tribe • Environmental education and other enhanced education • Teachers’ Quarters at Havasupai Tribe and social service programs at Colorado River Indian Tribes ITCA was instrumental in • Head Start Center at Hualapai Tribe • Development and staffing of Yavapai language program establishing the Arizona • Head Start/Apache Kid Child Care Facility at San Carlos Apache Tribe at Fort McDowell Yavapai Nation Inter Tribal Trust Fund in 1988 as part of the Arizona-Florida Land Exchange • Youth Center Building at Tribe • Counseling services at Gila River Indian Community Act which provided that monetary proceeds • Summer Youth Camp renovations at White Mountain Apache Tribe • Community Youth Resources Development at Hopi Tribe from the land exchange of the Phoenix Indian • Community Gathering Hall at Yavapai–Prescott Indian Tribe School property be deposited into two funds • Social and cultural activities and counseling services to supplement Tribal child and youth services. • Group Home at Cocopah Indian Tribe at Pascua Yaqui Tribe ITCA and the Navajo Nation agreed to receive • Head Start and Day Care Center at Havasupai Tribe • Grants and awards to community organizations at Salt River Infrastructure and Equipment* the monetary proceeds for deposit into • Tribal Resources Building at Yavapai Prescott Indian Tribe Pima-Maricopa Indian Community their respective trust funds in the form of a • Equipment, staffing and training for Community 30-year annuity. The Arizona Inter Tribal Trust • Community Preschool at Ak-Chin Indian Community • Child Welfare Division/Child Protective Services at Tohono Center at Cocopah Tribe Fund will receive $33.2 million at the end of • Youth Camp Education Center at Hualapai Tribe O’odham Nation • Computer center at Fort McDowell Yavapai Nation 30 years in addition to the annual amounts. • GED Program at White Mountain Apache Tribe • Facility improvements and repairs at Gila River ITCA distributes the income from the Arizona Inter Tribal Trust Fund to the nineteen Tribes • Social services and cultural preservation at Yavapai Apache Nation Indian Community in Arizona who were members of ITCA as of •  Preservation and Education Plan at Hopi Tribe • Buses for the Head Start Program at San Carlos January 1, 1988. The funds must be used to • Children and Youth Services Division at Pascua Yaqui Tribe Apache Tribe supplement educational and child-welfare programs, activities and services for the • Child Protective Services capacity building at San Carlos Apache Tribe • Furniture for Group Home at Cocopah Tribe benefit ofT ribes in Arizona receiving the funds. • Education and Afterschool Program at Kaibab Paiute Tribe ITCA receives a total of $2 million annually • Tutoring Services, cultural preservation and Tribal Youth from this fund to distribute to member Tribes. Five Tribes are funded each year on a rotating Liaison Representative basis with each Tribe receiving $400,000 • Summer Youth Camp at White Mountain Apache Tribe every three to four years. Since 1998, Tribes • Environmental Education Program at Colorado River Indian Tribes have been provided with $28 million from this fund. * These projects and programs were funded in whole or part by funds from the Arizona Inter Tribal Trust Fund.

10 11 1992 research and other health services; During 2010, the to increase the capacity of research project conducted institutions and AI/AN organizations to Tribal interviews Prior to the 1990’s, work in partnership with Tribes on to identify health monitoring and surveillance research; and to encourage research linked priorities; background of diseases and associated to health disparities and priorities in and experience in risk factors among American AI/AN communities. health research; Indian people residing on reservations in the Arizona, Nevada and Utah area had been perceived risks, exclusively a function of the Indian Health This year AIRCH worked with one Tribe to benefits and barriers Service (IHS) Phoenix and Tucson Service conduct research in the area of diabetes to research; the Areas with Tribes having little access to or and cardiovascular disease prevention. The research review and input into how and what data were collected. program also continued research efforts with approval process, and In addition, Tribes had minimal, if any, involvement in research carried out on Tribal the University of Arizona Student & Faculty the level of interest members by outside institutions and often Development Cores to train and recruit in establishing received no benefits from participating in the potential American Indian researchers and a regional Tribal research. Tribes recognized the need for data to link both students and faculty with Indian Institutional Review to assist them in assessing community health communities interested in health research in Board (IRB). The and planning their health priorities as well as conjunction with both NARCH and AIRCH project achieved the need for more participatory research that benefits the community. goals. In collaboration with Arizona State consensus from Tribes and the Indian Health Data and Research University, one student was mentored to Services IRB to establish a regional Tribal In 1992, the Indian Health Care Improvement conduct Fruit Fly laboratory research that IRB and initiated efforts in conjunction with Act established regional Tribal Epidemiology could lead to prevention of pancreatic cancer. AIRCH to establish this IRB. Centers to assist Tribes in accessing data and The research center is now working with one determining health priorities. ITCA applied The Southwest American Indian for and received funding to establish one of Tribe to explore the acceptance of alternative the firstT ribal Epidemiology Centers (TEC) in and complimentary therapies by Tribal Collaborative Network in partnership with 1996. In 2000, ITCA established an American members to meet their health needs. the University of Arizona and the Hopi Tribe Indian Research Center for Health (AIRCH) is working on developing a Tribal patient to increase the participation of Tribes in 2010 The Tribal Biomedical Research Project navigation certificate training for health care research and to educate researchers about assists Tribes interested in engaging in workers who work with American Indians Tribally-driven research in Tribal communities including appropriate dissemination and use of oday, the Tribal Epidemiology Center develops community health research in participating at the in Arizona to improve their ability to assist research data and results. More recently, the health profiles and health-related reports for defined priority highest level of decision making throughout cancer patients in navigating the health Biomedical Research Project was created to areas and conducts surveillance, technical support programs and every stage of the research process and care system. build Tribal capacity to fully engage in research trainingst that assess community health status. The wide range of services with the appropriate assurance of efforts. The outcome of the AIRCH projects of the ITCA TEC empowers Tribal governments to plan and manage community protection. cancer has provided a foundation for moving into a more comprehensive approach to address cancer existing health services using a fact-based and prioritized approach. crept among in American Indian communities and lead to us. i never the establishment of the Southwest American Some of the notable accomplishments of the TEC over the year included Indian Collaborative Network. developing statewide health profiles for Tribes in the states of Arizona, realized that Nevada and Utah as well as community health profiles for seven Tribes anyone in my and maternal and child health profiles for twelve Tribes and an urban community Indian health center. These data provide Tribes with a resource to utilize in program planning, evaluation and decision-making. would be affected The American Indian Research Center for Health, in partnership with like this. the University of Arizona, College of Medicine and the Native American Research and Training Center, collaborates with Tribes and universities Linda Havatone, to develop a cadre of American Indian/Alaska Native scientists and Hualapai Tribe health professionals in the fields of behavior, clinical services, biomedical

12 13 1996 Health Promotion

Community development activities began with the need to address community infrastructure requirements of the Tribes such as housing and energy. One of the first successes of TI CA in this area was being instrumental in establishing a state housing commission and earning representation on that commission. This commission eventually evolved 2010 into the State Housing Department.

With regard to energy, ITCA advocacy efforts he Tribal Teen Pregnancy Prevention and Youth assisted in earning power allocations for Tribes Development Program engaged over 60 youth ages from the Western Area Power Authority. This was a two-year effort that involved gathering Tribal data Community 1998 12 to 18 years old in an annual youth conference to on the use, availability and accessibility to energy; increaset their knowledge about sexually transmitted diseases, coordinating meetings between Tribes and federal Development preventing teen pregnancy, and promoting healthy behaviors. agencies; and developing statements on present and The local projects provided programs to both parents and youth. future energy usage. The ITCA Health Promotion Youth activities include participating in community service Program was developed in 1998 learning projects, sessions regarding prevention of sexually In the late 1990’s, ITCA recognized that the Tribes to the public health concerns of in response transmitted infections (STIs), teen pregnancy, and substance were being underserved in the area of weatherization Tribes in Arizona. Initial funding provided by the which was funded exclusively through the state by Arizona Department of Health Services assisted abuse using an evidence-based curriculum, and producing a national allocation from the U.S. Department of eight Tribes and three urban Indian centers to media messages around health promotion. Over 1,100 youth Energy. ITCA worked with the state to receive an implement tobacco prevention programs in an effort and 90 parents participated in the local programs. allocation establishing the first Weatherization to reduce commercial tobacco use in their respective Assistance Program (WAP). Later, ITCA applied for 2010 communities. Through continued funding, Tribes The In Community Spirit Project initiated adaptation and and was the first to receive direct funding from the are implementing smoke-free ordinances, creating U.S. Department of Energy. Additionally, ITCA, with implementation of an HIV/AIDS evidence-based intervention he Weatherization Assistance Program has three basic systems change, and working with youth to advocate assistance of other advocates, was able to secure for American Indian women (Sisters Informing Sisters on goals: to save energy, to lower fuel bills and to improve for retail ordinances in selling tobacco to minors. funding through Arizona Public Service (APS) as part Topics about AIDS-SISTA) led by female facilitators designed to the health and safety on Tribal lands in Arizona. In the of a provision that was required with a rate increase Through our National STD/HIV/AIDS Prevention reduce sexual HIV/STD risk behaviors. The program identified for Tribes that are served by APS. The ITCA WAP is pastt year ITCA provided weatherization assistance for 53 homes Program, ITCA provided capacity building assistance three Tribes in Arizona to collaborate with on the project and also receiving American Recovery and Reinvestment on seven reservations primarily in homes where elders, people (CBA) to consumers that provide direct HIV service planned and hosted a facilitators’ training on the original SISTA Act (ARRA) funding that will provide weatherization with disabilities or families with children reside. ITCA is planning to American Indians. In its 10 years as a CBA upgrades in 126 homes on Tribal lands. curriculum in partnership with the Centers of Disease Control to address the weatherization needs on the remaining thirteen provider, ITCA has been able to mobilize underserved and Prevention (CDC). Three community feedback sessions member Tribal lands. American Indian communities through community engagement in support of HIV prevention services. focusing on the adaptation of the original curriculum and the implementation process were held. The Lead Education and Outreach Program provided outreach In 2007, ITCA expanded health prevention activities and education to the 20 member Tribes in Arizona to reduce the and received the Tribal Teen Pregnancy Prevention exposure of children residing in reservation communities to lead and Youth Development Grant to address the sources by educating caretakers of the dangers of lead exposure high teen pregnancy and sexually transmitted infections rates among American Indian youth in and inform them of the most commonly found sources of lead Arizona. Currently, three Tribes in Arizona receive exposure. The program distributed lead outreach and education funds from ITCA to implement programs in their materials to all twenty Tribes in Arizona that included brochures Tribal communities. More recently, ITCA received and posters targeted at families with children and for those a research partnership grant from the University working with lead. Lead awareness presentations were provided to of Texas to adapt an evidence-based Internet eleven Tribal communities and seven Train-the-Trainer Workshops curriculum. ITCA also received a grant through the Office of Women’s Health to adapt an evidence- were provided to maximize distribution of lead awareness based intervention now called Native American information. In addition, an outreach booth was set up at ten Tribal Sisters Informing Sisters: Talking, Educating, and health care events and health-related conferences. Reducing Risk.

14 15 Frank J. Caverly 1999 Scholarship Fund Recipients Dental Prevention and Clinical Support Center. In the late 1990’s, the In- dian Health Service Dental Programs downsized. As Where They Are Now a result, IHS Area Dental health promotion disease prevention (HP/DP) positions were eliminated and dental prevention was left to the discretion of the Star Oosahwe Yellowfish, PhD individual service units. Oral health education and Star Oosahwe Yellowfish is a member of the dental prevention programs suffered from this lack of resources. In response to the downsizing within United Keetoowah Band of Cherokee Indians of the IHS dental programs, regional dental support Oklahoma and is of the Bird Clan. Dr. Yellowfish centers were created and in 1999, ITCA applied for received her Ph.D. in Adult and Higher Education and received the funding to establish a dental support at the University of Oklahoma. Her research center for the Tribes in Arizona that are located within Dental Prevention and expertise includes Native American student the Phoenix and Tucson IHS Areas. The ITCA Dental Prevention and Clinical Support Center (DPCSC) retention in higher education, Native American and Clinical originally worked directly with Tribes to provide oral student success factors, peer mentoring, and health education, prevention supplies and fluoride coping mechanisms for Native American students. varnish application trainings to community members. Support Center The program also established fluoride varnish She currently works for the Oklahoma City Public Schools (OKCPS) as the and school sealant programs, trained local oral Administrator of Native American Student Services. Under Dr. Yellowfish’s health educators and coordinated continuing dental education programs focused on program 1999 leadership, OKCPS Indian Education program has been recognized as the management and clinical courses. Exemplary Johnson O’Malley program in the state of Oklahoma for 2009. She currently sits on the National Board of Directors for the National Indian Education At the end of 2010, the Center took a new direction Association (NIEA). Dr. Yellowfish also serves as the President-Elect for the based on the requirements of IHS for continued fund- 2010 The Frank J. Caverly Oklahoma Council for Indian Education which is a state-wide organization ing. The ITCA DPCSC scope of work now includes Scholarship Fund provides dedicated to serving Indian students and assisting Indian Education programs. assessing the perceived needs of the IHS Dental he DPCSC applied 2,751 fluoride varnish applications, financial support for Programs, providing technical assistance for the IHS a 53% increase from the previous year, to children American Indian students Dental Programs and IHS Division of Oral Health’s at five Head Start Centers, two WIC clinics and an who are pursuing Christopher Sharp, MSW National Initiatives, promoting research, establishing t elementary, junior high and high school. In addition, staff sealed post-secondary education a website to serve as a clearing house for oral disease at a university, college, junior college, or Christopher Sharp is a member of the Colorado River Indian Tribes from the prevention, providing grant writing trainings and pro- 1,076 tooth surfaces on 276 students at one Tribe’s elementary, vocational/technical school. Mr. Caverly Mohave Tribe. As a dual degree student he graduated Magna Cum Laude with viding multiple continuing education opportunities junior high and high school. Training on the application of was born on August 8, 1906, in Baraboo, a Master of Social Work degree in May 2011. During his studies in social work for IHS dental staff. fluoride varnishes and the importance of dental sealants was Wisconsin, the son of Harry L. Caverly he interned with the Salt River Pima-Maricopa Indian Community, Division provided to 45 Tribal personnel and community members in and Nellie Ryan. Mr. Caverly became an three Tribal communities. The participants also received oral insurance broker in Pima County and had of Social Services and the ITCA. He was the recipient of the 2010 American an interest in American Indian culture. Indian Child Welfare Leader Fellowship. health educational materials and dental prevention supplies to He stressed that the course of study distribute to community members. and training for scholarship recipients Mr. Sharp was one of twelve students nationally must be useful and of benefit to Indian to be selected recently as a Udall Foundation The DPCSC built knowledge and capacity of IHS, Tribal and people and Indian communities. His wish Native American Congressional Intern and Urban Indian Dental Programs by providing 64.5 hours of was “…that the [scholarship] recipients will do the most good for their people in spent this past summer working at the Office of Continuing Dental Education to 138 staff members. The DPCSC whatever field they choose.” Congressman Raul Grijalva. During the internship, also implemented the Portable Dental Clinical Equipment Mr. Sharp monitored legislation affecting Tribes Loan Program to increase access to dental care procedures ITCA has sponsored over 60 American and conducted research on health disparities with a total of 32 pieces of equipment loaned to dental Indian students and provided over of American Indians in Congressman Grijalva’s programs, including a Tribal diabetes program. Through the $52,000 in scholarships to partially fund congressional district. use of the portable equipment two of the dental programs tuition, books and other educational expenses at universities and trade schools. placed close to 7,000 sealants and 6,000 fluoride varnish He is currently pursuing a Master’s in Public applications while implementing their community based Administration at ASU and works as a graduate assistant with the dental prevention programs. ASU American Indian Studies Department.

16 17 Audited Financial Statement 2000 Year Ending September 30, 2010

In the mid-1990’s, ITCA received Statement of Activities Statement of Financial Position its first emergency preparedness and response type program, the Hazardous Revenue and Other Support ASSETS Materials Emergency Preparedness Program Grants and Awards $ 17,521,401 Current Assets (HMEP), which was funded by the U.S. Department of Infant Formula Rebate Revenue 2,232,382 Transportation (DOT) to provide assistance to public Cash $ 799,078 Donated Facilities and Supplies 268,301 sector employees through training and planning grants. Grants and Awards Receivable 2,731,418 Contributions 50,157 Infant Formula Rebates Receivable 380,123 Investment Revenue/Rental Income 439 Several years later, two other related programs Prepaid Expenses 15,602 evolved as a result of the tragic events of September Total Revenue and Support 20,072,680 Other Receivables 29,680 11, 2001. The first was theP ublic Health Emergency Preparedness Program, which was established in Expenses Total Current Assets 3,955,901 2004 to prepare for and support local responses Emergency Program Services 18,707,161 to public health threats and emergencies, such as Property and Equipment, Net 2,420,120 bioterrorism and pandemic influenza.T he focus was Response Supporting Activities Total Assets 6,376,021 on preparing plans, testing and exercising the plans, Management and General 1,146,786 and evaluating and improving overall emergency Activities LIABILITIES AND NET ASSETS communication networks among hospitals, medical Fundraising/Grant Solicitation 17,014 professionals, law enforcement, public health Total Expenses 19,870,961 Current Liabilities officials, emergency responders, school officials, Accounts Payable 2,546,650 public officials, and others.T he second program, Change in Net Assets before Minority Interest 201,719 Accrued Expenses 202,755 the National Incident Management Systems (NIMS) Minority Interest in Subsidiary’s Earnings 1,428 Grants & Awards Payable to Tribes 0 Program administered and funded by the Federal Current Portion of Long-Term Debt 47,280 Emergency Management Agency, provides a Change in Net Assets 200,291 consistent nationwide approach for Federal, 2010 Total Current Liability 2,796,685 state, territorial, Tribal, and local governments to Net Assets- Beginning of Year 2,412,940 he Hazardous Materials Emergency Preparedness Long-term Debt, Net of Current Portion 469,678 work effectively and efficiently together to prepare provided planning assistance and training to Tribal Net Assets-End of Year 2,613,231 for, prevent, respond to, and recover from domestic NET ASSETS-UNRESTRICTED incidents, regardless of cause, size, or complexity. governments in the area of hazardous materials t emergency preparedness and response. HMEP Controlling Interest 2,589,747 The program is currently working with the Navajo Nation to develop coordinated and facilitated fifteen training courses Minority Interest 496,427 and implement a comprehensive with a total of 443 Tribal First Responders. In addition, Temporarily Restricted 23,484 Environmental Programs - 6% approach to incident management, State of Arizona - 5% the program provided planning activities and training Total Liabilities & Net Assets 6,376,021 applicable at all jurisdictional levels events to seventeen Tribes in Arizona. and across functional disciplines, U.S. Dept. of Other - 3% and as this system is fully Health and Human developed and operational, ITCA The Navajo Nation Emergency Mutual Aid Compact Services - 31% U.S. Dept. of ITCA Administration - 6% anticipates replicating the system Program provided facilitation and coordination efforts, Agriculture - 55% with other Tribes in Arizona. through a Cooperative Agreement with the Navajo Tribal Pass–through - 61% Tribal Support - 33% Nation, for the efficient and effective sharing of resources, during times of disaster or emergency, and assisted in developing a coordinated use of resources in Tribal emergency services response efforts through the establishment and implementation of Navajo Nation Emergency Mutual Aid Compacts.

The Tribal Public Health Emergency Preparedness provided ITCA revenue totaled $20,072,680 $11,071,729 support and technical assistance through training and on-site visits for fiscal year ending 9/30/10. (Includes Infant Formula Rebate Revenue) The majority of revenue was $6,310,400 to Tribal Public Health Emergency Preparedness and Pandemic obtained from federal sources Influenza Response programs within the state of Arizona. The (92%). State sources were (5%) and other funding sources, $1,192,440 The functional expenses totaled $19,870,961. $12,118,701 program distributed model Tribal templates for Bioterrorism, including contributions, accounted The majority of ITCA funds (94%) support the for 3% of revenue. Tribal programs via the pass-through of funding Pandemic Influenza and All Hazards Response Plans to Tribes. $925,518 $6,588,460 to member Tribal governments or through the provision of training and technical assistance to $572,593 Tribes. The the balance of funds (6%) supports $1,163,800 administration of the organization. 18 19 Staff Listing 2010 ITCA Conference Sponsors Executive Research And Evaluation ITCA appreciates the donations provided by the following entities Executive Director | John Lewis Southwest American Indian Collaborative Network that allow us to further our resources and expand our reach. Assistant Director | Alberta Tippeconnic and American Indian Research Center for Health Program Director | Kenton Laffoon $5000+ Pueblo of Zuni Finance Tribal Epidemiology Center Senior Epidemiologist | Norm Petersen San Xavier District- Tohono O’odham Nation Finance Officer | Alice Morgan Tribal Epidemiology Center Epidemiologist | Keisha Robinson Ak-Chin Indian Community San Carlos Apache Tribe Finance Manager | Karen Primmer Tribal Epidemiology Center Epidemiologist | Sibeso Joyner Ft. McDowell Yavapai Nation Tohono O’odham Gaming Enterprises Accounts Payable Specialist | Elva Yazzie Tribal Epidemiology Center Gila River Indian Community Tohono O’odham Nation Legislative Council Administrative Coordinator | Quannee Oosahwe Gu-Achi District- Tohono O’odham Nation Administrative Salt River Pima-Maricopa Indian Community Office Manager | Verna Monenerkit Human Services Program Tohono O’odham Nation Less than $500 Events Coordinator | Crystal Wyaco-Little Human Services Systems Director | Warren Kontz A & A Materials Human Resources Specialist | Bette Hartsfield WIA MIS Specialist | Kathy Davis AGATE, Inc. $2,500-$4,999 Design Specialist | April Wesley AHAQuin Colorado River Indian Tribes Area Agency On Aging Cocopah Tribe Administrative Assistant | Naida Mansfield Ak-Chin Elderly Program Area Agency on Aging Program Director | Lee Begay Quechan Tribe Administrative Assistant | Crystal Thomas Bluewater Casino Area Agency on Aging Program Specialist | Laurai Atcitty Schuk Toak District –Tohono O’odham Nation Administrative Assistant | Bernadette Guy Colorado River Indian Tribes Farms Area Agency on Aging Caregiver Support Hickman Family Farms Administrative Assistant | Rafaella Contreras Program Specialist | Archie Mariano $500-$2,499 Hopi Tribe Receptionist | Marilyn Vaughn Area Agency on Aging Public Benefits Specialist | Janell Hardy McSpadden Ford Calendar Stick Business Park Receptionist | Felisa Scott Area Agency on Aging Independence Living Support Native Towel Supply Colorado River Indian Tribes Physical Facilities Coordinator | Bridget Buchanan Program Specialist | Tiffany Yazzie My Bookkeeping Place Fort Mojave Indian Tribe Facilities Maintenance Coordinator | Gary Shupla Area Agency on Aging Program Specialist | Kim Russell Pisinemo District- Tohono O’odham Nation Harrah’s Ak-Chin Casino Stayshons Enterprises Hopi Tribal Housing Authority Health Environmental Quality Programs Strickland & Strickland Hualapai Tribe Health Promotion Program Director | Gwenda Gorman Environmental Programs Director | Elaine Wilson Utility Strategies Kaibab Paiute Tribe Health Promotion Coordinator | Glenda Lumpmouth Public Health Preparedness Tohono O’odham Nation Utility Authority On-Auk-Mor Health Program Specialist | Travis Lane Program Coordinator | Adrian Hendricks Health Systems Analyst | Alida Montiel Environmental Program Coordinator | Roland Chester Health Programs Specialist | Sherrilla McKinley Emergency Systems Development Specialist | Josh Allan Diabetes Nutrition Coordinator | Melva Zerkoune Environmental Program Coordinator | Elaina Doral Dental Support Center Director | Alyssa York Environmental Specialist | Africa Dorame-Avalos Health Program Specialist | Naomi Lane Tribal Water Systems Program Administrator | Brian Bennon Tribal Water Systems Environmental Specialist | Landon Hardy Special Supplemental Tribal Air Quality Program Coordinator | Maureen Perkins Nutrition Program For Women, Environmental Specialist | Tyler Walls Infants And Children WIC Director | Mindy Jossefides Community Development WIC Nutrition Coordinator | Brandy Warwick-Thier Community Development Director | Patrick McMullen WIC Breastfeeding Coordinator | Claresa Bedonie TWS Environmental Specialist/ WIC Vendor Coordinator | Crystalina Corona Weatherization Program Specialist | Delono Ashley WIC Nutritionist | Serene Mazhar Transportation Project Coordinator | Esther Corbett WIC Information Systems Coordinator | Rich Burch WIC Information Systems Specialist II | Les Spangler WIC Administrative Coordinator | Shaylin Shabi

20 Inter Tribal Council of Arizona, Inc.

MemberMember TTribesribes

Ak-ChinAk-Chin Indian Indian Community Community CocopahCocopah Indian Indian Trib Tribee ColoradoColorado River River Indian Indian TribesTribes FortFort McDowell McDowell Yavapai Yavapai NationNation FortFort Mojave Mojave Indian Indian Tribe Tribe GilaGila River River Indian Indian Communit Communityy HavasupaiHavasupai Tribe Tribe HopiHopi Tribe Tribe Hualapai Tribe Hualapai Tribe Kaibab-Paiute Tribe Kaibab-Paiute Tribe Pascua Yaqui Tribe Pascua Yaqui Tribe Pueblo of Zuni Pueblo of Zuni Quechan Tribe Quechan Tribe Salt River Pima-Maricopa S alt Indian River Community Pima-Maricopa Indian Community San Carlos Apache Trib e San Carlos Apache Trib e Tohono O’odham Nation Tohono O’odham Nation Tonto Apache Tribe Tonto Apache Tribe White Mountain Apache Tribe WYhiteavapai Mountain Apache Apache Nation Tribe YavapaiYavapai-Prescott Apache Nation Indian Tribe Yavapai-Prescott Indian Tribe

© Copyright 2010 Inter Tribal Council of Arizona. All rights reserved.

2214 N. Central Avenue Phoenix, AZ 85004 602.258.4822 www.itcaonline.com